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Senior Full Stack Engineer

AI Summary
Solace is seeking a senior full-stack engineer to build and operate patient-facing healthcare technology in a fast-moving Series C startup. The role owns product workflows end to end, from interpreting requirements and designing solutions through deployment and ongoing system improvement. Core work spans React interfaces, TypeScript/Node services, NestJS APIs, PostgreSQL, Redis, and GCP infrastructure. The engineer will collaborate closely with product and design partners while independently driving releases, refactoring, and resilient production systems.
Remote from
USA
Salary
USD 150k–200k / yr
Employment
Full Time
Experience
Senior
Published
Apply before
3 Dec 2026
Listing views
15
Application actions
0
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Opportunity details

About this role.

About Solace

Healthcare in the U.S. is fundamentally broken. The system is so complex that 88% of U.S. adults do not have the health literacy necessary to navigate it without help. Solace cuts through the red tape of healthcare by pairing patients with expert advocates and giving them the tools to make better decisions—and get better outcomes.

We’re a Series C startup, founded in 2022 and backed by Inspired Capital, Craft Ventures, Torch Capital, Menlo Ventures, Signalfire, and IVP. Our U.S. based team is lean, mission-driven, and growing quickly.

Solace isn’t a place to coast. We’re here to redefine healthcare—and that demands urgency, precision, and heart. If you’re looking to stretch yourself, sharpen your edge, and do the best work of your life alongside a team that cares deeply, you’re in the right place. We’re intense, and we like it that way.

Read more in our Bloomberg funding announcement here.

About the Role

As a Full Stack Engineer, you’ll join a spectacularly talented team of fellow engineers—but you will also be expected to independently own your product workflow from initial design requirements through deployment. You will be expected to move aggressively, and you will commit code daily, but you’ll get that rush of seeing your work in the wild with live users on a regular basis as you build a revolutionary product from scratch.

You are an experienced engineer who can identify problems and architect the highest-quality solutions. You are curious and enjoy working on ambiguous problems where the solutions are not (yet) well-defined. You take pride in your craft, have impeccable communication skills, and you absorb feedback exceptionally well. You aren’t afraid to make mistakes and learn from them. Above all, you enjoy taking ownership and are stifled by large organizations.

What You’ll Do

  • Analyze product requirements and produce high-quality, production-ready code while creating a best-in-class user experience.

  • Build and maintain new user-facing features with everything from database models to UI components.

  • Be autonomous. You’ll take full ownership of your work, and you take responsibility and accountability for every last detail, every step of the way.

  • Be a collaborator. You’ll work with other engineers and cross-functional partners in product and design to build a world-class product and lead new initiatives to improve our user experience.

  • Create services and APIs to drive existing and new features for web apps.

  • Maintain the health of our systems and codebase, refactor and make improvements, and keep our systems robust and resilient.

  • Write clear specs to ensure product/code quality for stress-free deployment.

  • Drive large releases to production on a continuous deployment cadence.

What You Bring to the Table

  • Experience working in a start-up environment.

  • 5+ years of relevant experience on both frontend and backend development.

  • Strong React fundamentals and a background working with Typescript/Node.

  • An intuitive understanding of what it takes to create delightful, consumer-oriented experiences.

  • Strong communication skills that help you influence product direction and help collaborative visions come to life.

  • Extreme bias toward action and execution. You get antsy if you’re not writing code, improving the codebase, and vigilantly enhancing the systems that represent the big-thinking work.

Our Tech Stack

  • Typescript across all our applications

  • NestJS API with TypeORM

  • Postgres

  • Redis

  • React

  • Custom UI library built on shadcn

  • Tailwind

  • GCP

Applicants must be based in the United States.

Up for the Challenge?

We look forward to meeting you.

Fraudulent Recruitment Advisory: Solace Health will NEVER request bank details or offer employment without an interview. All legitimate communications come from official solace.health emails only or ashbyhq.com. Report suspicious activity to recruiting@solace.health or advocate@solace.health.

Apply now >

This job listing has been manually reviewed by the Jobicy Trust & Safety Team for compliance with our posting guidelines, including verification of the company's legitimacy, accuracy of job details, clarity of remote work policy, and absence of misleading or fraudulent content.

Role DNA

A quick view of the complexity, pace, ownership and collaboration implied by the job description.

Job Complexity

5/5
EasyHard

Pace & Pressure

5/5
RelaxedFast-paced

Autonomy Level

5/5
GuidedFull ownership

Communication Load

4/5
IndependentCollaborative
AI insightThis is a senior end-to-end engineering position requiring 5+ years of frontend and backend experience, sound architecture judgment, and ownership of ambiguous product problems. The stated daily coding cadence, continuous deployment, and startup urgency make it especially demanding.

Salary analysis

Estimated compensation compared with the broader US market for similar roles.

Estimated job median (per year)Market rate
$175,000
US market range (per year)$160k–$220k
AI insightThe employer discloses a yearly base compensation range of USD 150,000–200,000, with a midpoint of USD 175,000. Estimated US market compensation for a senior full-stack engineer in a venture-backed healthcare startup is approximately USD 160,000–220,000 per year; actual pay may vary by location, depth of system-design experience, and startup-stage responsibilities.

Core skills

Skills and capabilities most closely associated with this opportunity.

Sample interview questions
How would you design a new patient-facing workflow from initial requirements through production release?

I would clarify user outcomes and edge cases with product and design, write a lightweight technical spec, define API and data-model changes, and break delivery into observable milestones. I would build the workflow behind appropriate validation and monitoring, test critical paths, deploy incrementally, and use user and operational feedback to refine it.

Describe how you would structure a TypeScript service using NestJS and TypeORM for a new feature.

I would separate controllers, application services, domain rules, and persistence concerns. TypeORM entities and migrations would define durable schema changes, while DTO validation, authorization, transactional boundaries, and clear error handling would protect the API contract. I would add focused unit and integration tests around the highest-risk behavior.

What practices help keep a rapidly evolving full-stack codebase resilient?

I prioritize clear module boundaries, automated tests for critical workflows, typed interfaces, code review, observability, and small deployable changes. Regular refactoring, database migration discipline, error monitoring, and documented operational runbooks help the team move quickly without accumulating unmanaged risk.

How do you handle an ambiguous product request when the best technical solution is not yet clear?

I start by identifying the user problem, constraints, success metrics, and irreversible decisions. I then propose a small number of options with trade-offs, validate assumptions through prototypes or targeted discovery, and recommend the smallest approach that can safely deliver learning and value.

Give an example of how you would influence product direction as an engineer.

I would connect technical observations to customer impact, such as showing how latency, confusing workflow states, or unreliable data affects completion and trust. Rather than only raising concerns, I would bring evidence, alternatives, effort estimates, and a pragmatic recommendation that product and design can evaluate together.

This analysis is generated from the job description. Salary estimates, role characteristics and sample answers are guidance, not employer-provided facts.
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